SciELO - Scientific Electronic Library Online

 
vol.34 issue2Utility of the diagnostic tests in blunt cardiac traumaPrevalence, diagnosis, and treatment of traumatic pulmonary injuries author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Article

Indicators

Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google

Share


Revista Colombiana de Cirugía

Print version ISSN 2011-7582
On-line version ISSN 2619-6107

Abstract

MELENDEZ, Juan José et al. Resuscitative endovascular balloon occlusion of the aorta in patients in danger of hemorrhagic shock: experience in a Latin American trauma center. rev. colomb. cir. [online]. 2019, vol.34, n.2, pp.124-131. ISSN 2011-7582.  http://dx.doi.org/10.30944/20117582.106.

Introduction:

Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is a procedure that involves placement of an endovascular balloon in the aorta to obtain proximal control of hemorrhage. We hypothesize that the REBOA can be used as an emergent maneuver for the management of patients with hemorrhagic shock and as a prophylactic intervention to prevent the appearance of massive hemorrhage in populations at risk.

Methods:

Data were collected from a prospective cohort of patients in the period between 2014 and 2018, at a level I trauma center in Southwestern Colombia. The data was presented according to their distribution of normality, in means and standard deviations or medians and interquartile ranges.

Results:

Seventy patients were included, 27 considered at risk of hemorrhagic shock (pregnant women with abnormal placentation) and 43 with hemorrhagic shock (trauma patients undergoing surgery and REBOA). In the first group, no patient required massive transfusion and no deaths were reported. In the latter, there was a significant increase in blood pressure [SBP pre-REBOA: 50.1 ± 22.5, post-REBOA SBP: 107 (87-129)] and mortality was 30.2%.

Conclusion:

Our experience in the use of REBOA is the largest reported in Latin America. This is an effective tool for the management of patients at or at risk of hemorrhagic shock.

Keywords : aorta; endovascular procedures; balloon occlusion; wounds and injuries; hemorrhage; blood transfusion; cardiopulmonary resuscitation.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )